Survey-Clinic – Neb Doctors

Clinic Survey

Does having equipment at the point of care improve patient outcomes?

Yes

No

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Has your Neb Doctors Representative properly trained your staff on completing forms?

Yes

No

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Has your Neb Doctors Representative properly trained your staff on our products?

Yes

No

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Are you satisfied with the quality of products supplied by Neb Doctors?

Yes

No

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Do you have a suggestion for improving our service?

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Are there other products or supplies that you believe would benefit your patients?

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Please rate your Overall Satisfaction with our service

0 - Not at all

1

2

3

4

5 - Extremely

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Would you like someone to contact you?

Name

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Email

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Phone Number

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